| NPI | 1841508371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 67647) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 1160) |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2014-12-16 |