| NPI | 1689699001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R18930) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 000099482) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2015-02-17 |