| NPI | 1306876933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 100877) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 45725) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2016-09-20 |