| NPI | 1740233345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID NP269A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID N14618) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2008-03-10 |