| NPI | 1407025141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 1370822) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1082998) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-02-27 |