| NPI | 1598832081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 019607-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 019607-23-08) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2012-02-15 |