| NPI | 1043350796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9217378) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9217378) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2009-06-25 |