| NPI | 1225398977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R188822) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R188822) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2013-04-12 |