| NPI | 1225284243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R183789) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: NY F332217) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2011-01-13 |