| NPI | 1437473873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO F0210077) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2005022628) |
| Enumeration Date | 2010-03-14 |
| Last Update Date | 2010-04-02 |