| NPI | 1447229489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MO 2008027316) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IA A-059614) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2008-11-25 |