| NPI | 1952494916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC APRN1563) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004353) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2009-06-11 |