| NPI | 1003119520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9223578) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9223578) |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2022-03-25 |