| NPI | 1053385401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP03605) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN074262) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2013-02-15 |