| NPI | 1316227820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP06642) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA TAP002663) |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2018-03-17 |