| NPI | 1275753444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R851555) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MS R851555) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MS R851555) | |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2011-07-22 |