| NPI | 1164656039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9304578) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R63178) |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2012-04-18 |