| NPI | 1205931540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH EL08931) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: LA AP04505) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2022-05-18 |