| NPI | 1164470522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 0281082303) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 0281082303) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2010-04-20 |