| NPI | 1326468208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A004073) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: AR R086496) |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2015-04-13 |