| NPI | 1407887094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP020536) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN087376) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2017-02-17 |