| NPI | 1346312105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 112364) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 935) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2018-09-05 |