| NPI | 1972769909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI 1427) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN-22282) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2017-02-07 |