| NPI | 1740340017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 190818) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-041326) |
| Enumeration Date | 2006-12-09 |
| Last Update Date | 2012-06-06 |