| NPI | 1538395991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 111127) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: CO 190228) |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2011-01-12 |