| NPI | 1437151636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R881289) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN041380 AP01824) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2015-01-13 |