| NPI | 1386778686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: LA RN058863) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP03695) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2007-07-09 |