| NPI | 1427261247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 154657) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 46022) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2017-04-13 |