| NPI | 1528246576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R881362) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 13075) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2012-06-14 |