| NPI | 1427381151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R870649) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 14337) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2016-11-27 |