| NPI | 1518012350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5001293) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 005001293) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2013-07-15 |