| NPI | 1528003878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 44994) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 141541) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2011-07-06 |