| NPI | 1083039010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC F0414093) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 195087) |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2015-02-05 |