| NPI | 1023088150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MD R162682) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R162682) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2009-01-13 |