| NPI | 1508814468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 787483) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MI 4704118112) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2012-07-04 |