| NPI | 1275596306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004384) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 812) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2009-05-20 |