| NPI | 1386896702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 183159) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004200) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2013-07-26 |