| NPI | 1447228846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 130395) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 45808) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2016-01-28 |