| NPI | 1578646717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 300188) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 300188) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2008-09-18 |