| NPI | 1497837959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 063677) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 063677) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2010-01-25 |