| NPI | 1265683601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9358211) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 3952) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2014-03-26 |