| NPI | 1740235712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP 344A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID N9516) |
| 363LF0000X Nurse Practitioner, Family (Licence: ID N9516) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2009-03-02 |