| NPI | 1285800490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA APO 2169) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: LA APO2169) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2012-06-14 |