| NPI | 1013100676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R863177) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP03549) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2013-11-25 |