| NPI | 1447535091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: HI 2011009630) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 18407) |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2013-09-25 |