| NPI | 1386720241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R138400) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MS R138400) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2009-12-02 |