| NPI | 1447279328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3238) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R1063253) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2011-04-18 |