| NPI | 1699925578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-048729) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP3185662) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2016-04-21 |