| NPI | 1841306537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 29952.1135) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA sp008447) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2014-05-13 |