| NPI | 1528287729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD R013902CNP348) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SD R013902CNS4104) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-07-08 |