| NPI | 1811033723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 201029) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 115278) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2012-02-27 |