| NPI | 1245271469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD r132363) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: MD r132363) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2014-04-09 |