| NPI | 1841295854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 11166) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN 0377974-22) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2015-07-09 |