| NPI | 1437265378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9416787) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R107506) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2015-10-19 |