| NPI | 1861746927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A132863) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 5073-33) |
| Enumeration Date | 2012-10-28 |
| Last Update Date | 2014-11-18 |