| NPI | 1659771616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08686) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN116548) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2016-03-03 |