| NPI | 1669579199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 210851) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5002185) |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2013-07-29 |