| NPI | 1194979385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-108877) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R874979) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2013-04-04 |