| NPI | 1558339531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE RN32150) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0017137729) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2007-07-08 |