| NPI | 1922304369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A03476) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2010040040) |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2012-02-28 |