| NPI | 1538193115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 564) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AK 564) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-07-08 |