| NPI | 1558593368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 9299783) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 167687) |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2012-10-09 |