| NPI | 1972717049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC NC200445) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 200445) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2008-02-27 |