| NPI | 1881646842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 201668) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 092475) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2013-08-21 |