| NPI | 1710130802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 126673) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO RN126673) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2010-10-12 |