| NPI | 1558600528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07221) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA TAP003037) |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2013-02-21 |