| NPI | 1295813251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5003908) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 24165284) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-06-10 |