| NPI | 1336301886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R879204) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 13508) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2009-11-10 |