| NPI | 1497810485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173096) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71001783A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209.006745) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 160334-030) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2016-01-26 |