| NPI | 1407001852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-888A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID N31247) |
| Enumeration Date | 2008-11-27 |
| Last Update Date | 2013-10-29 |