| NPI | 1245323914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS R733881) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MS R733881) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2019-11-06 |