| NPI | 1033180906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2002006029) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 44555) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2014-05-06 |