| NPI | 1336190271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 44599) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2002001285) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2012-10-28 |