| NPI | 1033281613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 110621) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A-104191) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2013-12-23 |