| NPI | 1275771016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 13451) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AL 1-138353) |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2013-06-27 |