| NPI | 1558531996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CT 3754) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: CT 003754) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2014-12-02 |