| NPI | 1407940760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AK 944) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AK 308) |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 308) | |
| 364SH1100X Clinical Nurse Specialist, Holistic (Licence: AK 944) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 944) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2015-11-25 |