| NPI | 1497053094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 201391304NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NM R46614) |
| Enumeration Date | 2011-03-05 |
| Last Update Date | 2014-05-13 |