| NPI | 1699775643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-031341) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS R856711) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2016-02-22 |