| NPI | 1477664241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA UP004880B) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA UP003585D) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-10-31 |