| NPI | 1053395772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 055106-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 055106-23-03) |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2016-03-16 |