| NPI | 1043363534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004102) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP008019) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2015-07-21 |