| NPI | 1003369158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9337674) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9337674) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9337674) | |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2016-12-12 |