| NPI | 1497962260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO F0499281) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: MO 073423) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2015-07-24 |