| NPI | 1538252218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 5213P) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP2498) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-04-08 |