| NPI | 1932124864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID NP-498A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID N21384) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2015-04-07 |