| NPI | 1013220565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 64) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004792) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2014-04-10 |