| NPI | 1871654996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 034969-23-03) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 034969-21) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2008-05-04 |