| NPI | 1093727737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R809052) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS R809052) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2016-12-01 |