| NPI | 1528211075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 2008002647) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NC 106931) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2015-02-26 |