| NPI | 1740231711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP03082) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN036483) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2009-06-05 |