| NPI | 1427490275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07331) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN122832) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |