| NPI | 1548577570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4966) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN121135-AP06272) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2013-09-19 |