| NPI | 1114184934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A-065664) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A065664) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |