| NPI | 1508835158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM RN72201) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 1702-APNP) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2013-02-25 |