| NPI | 1477898591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC002293) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC F0912173) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2018-07-26 |