| NPI | 1013207778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A123252) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 111236) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2013-09-23 |