| NPI | 1881648756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A-059375) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: IA A059375) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2014-10-27 |