| NPI | 1932181476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 017042-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 0170422303) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2011-09-09 |