| NPI | 1003065731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08376) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN148719) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2017-11-29 |