| NPI | 1831265305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA 047996) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA C047996) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-09-27 |