| NPI | 1992800916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MS R879202) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AL 1-090086) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2015-03-19 |