| NPI | 1558361238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 1678033) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 1678033) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2008-04-20 |