| NPI | 1881755023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-506A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID np506A) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2010-03-16 |