| NPI | 1659515609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA F04170344) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN155009) |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2017-06-22 |