| NPI | 1659325496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 201836) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 201836) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2012-10-13 |