| NPI | 1578877320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC 1024435) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 4401) |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2011-10-04 |