| NPI | 1194967802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA vp000932b) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA rn265195l) |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2009-03-26 |