| NPI | 1871744730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9181246) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-119971) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2010-09-02 |