| NPI | 1386970382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209.003691 041.16812) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WI 555-033) |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2009-10-26 |