| NPI | 1841247228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 089317) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 089317) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2010-06-02 |