| NPI | 1376776302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 3848) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND R34502) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2013-06-05 |