| NPI | 1821166539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ID NP925A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO RN172038) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2012-07-20 |