| NPI | 1649238957 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 110634) | 
| Additional Taxonomies | 364ST0500X Clinical Nurse Specialist, Transplantation (Licence: NE 110634) | 
| Enumeration Date | 2006-05-03 | 
| Last Update Date | 2011-06-29 |