| 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 |