| NPI | 1891910188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS A810255) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A01635) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2014-04-14 |