| NPI | 1497994560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP05623) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA AP05623) |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2012-08-28 |