| NPI | 1013951318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 18101) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SC 3089) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2013-05-20 |