| NPI | 1871563536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-01819) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MO 102429) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2012-01-30 |