| NPI | 1245322981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 200736) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: NC 082463) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2016-04-22 |