| NPI | 1174831861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA ap06290) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R853766) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2012-09-26 |