| NPI | 1003006610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A-106000) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD CP 000510) |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 110899) | |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2011-02-07 |