| NPI | 1710163373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 11397) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN 137416) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2008-01-14 |