| NPI | 1649328725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP009078) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024165162) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |