| NPI | 1386891687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP06169) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA 1950) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2015-08-19 |