| NPI | 1740224328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP450A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A-094411) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2009-04-10 |