| NPI | 1326264953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R878857) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 12131) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2014-07-10 |