| NPI | 1215013073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R691941) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN066376 APO4870) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2013-03-26 |