| NPI | 1295962504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A004096) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R81466) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2015-02-23 |