| NPI | 1144510355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP011927) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE lg0000545) |
| Enumeration Date | 2011-04-10 |
| Last Update Date | 2012-03-02 |