| NPI | 1932434701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AR A01641) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 9050) |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2015-03-24 |