| NPI | 1447426234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9331197) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 0151480) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2011-10-12 |