| NPI | 1306069927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 201424) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 169217) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2015-09-25 |