| NPI | 1801913801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 0900036) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 900035) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2008-05-01 |