| NPI | 1558468850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA rn046401) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA ap03147) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |