| NPI | 1225147226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MT 33431) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 234169) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2010-03-19 |