| NPI | 1295016731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 6002-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP011467) |
| 363LF0000X Nurse Practitioner, Family (Licence: RI NPP37605) | |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2015-10-16 |