| NPI | 1952621955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5004799) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 217352) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2010-07-26 |