| NPI | 1972517696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: LA 60241) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: AZ AP2474) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2007-12-12 |