| NPI | 1942594361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 235517) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SC 17474) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2013-08-15 |