| NPI | 1679603203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: ID NP-529A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID N-19139) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2010-04-15 |