| NPI | 1841392388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 076897) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MO 076897) |
| Enumeration Date | 2006-09-04 |
| Last Update Date | 2014-09-04 |