| NPI | 1457682882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 259381) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 133334-6468) |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2015-10-26 |