| NPI | 1972571008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: HI 296) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: HI 296) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2015-07-23 |