| NPI | 1205030335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR A02935) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R66717) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2009-10-27 |