| NPI | 1134182637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004862) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024165127) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2016-12-01 |