| NPI | 1184740862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD AC000705) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 005002201) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2009-09-29 |