| NPI | 1538344064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP3282) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MS R727296) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2011-03-10 |