| NPI | 1528083623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 222935) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 1662822) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2008-10-02 |