| NPI | 1548382476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP009152) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN000076) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2011-08-28 |