| NPI | 1023280583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 3491) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004057) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2016-09-07 |