| NPI | 1528374899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R189178) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP001511B) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2010-08-25 |