| NPI | 1609908771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 2837-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 2837) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2012-02-16 |