| NPI | 1588814172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200950020NP) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: OR 200250129NP) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2012-01-09 |