| NPI | 1780713214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A004058) |
| Additional Taxonomies | 251C00000X (Licence: AR R50204) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2015-11-09 |