| NPI | 1558491266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 110168) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 29208) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2013-12-17 |