| NPI | 1417144635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC F0613558) |
| Additional Taxonomies | 372500000X Chore Provider (Licence: NC 201550) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2018-01-25 |