| NPI | 1467609800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-061710) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AL 740166) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2013-10-22 |