| NPI | 1366616344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS A810661) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 13403) |
| Enumeration Date | 2008-04-21 |
| Last Update Date | 2019-10-25 |