| NPI | 1376882340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-099725) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA rn178001) |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2015-02-24 |