| NPI | 1245289602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IA A-098375) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: IA A098375) |
| 363LF0000X Nurse Practitioner Family (Licence: IA A098375) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2012-04-06 |