| NPI | 1639162738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MO 2000151898) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist Family Health (Licence: VA 0024167525) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2009-01-22 |