| NPI | 1497071492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP05926) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R868487) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2013-11-27 |