| NPI | 1700946274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 22111) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 42094) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2008-11-12 |