| NPI | 1982712048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM cnp00258) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM R18198) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2015-07-21 |