| NPI | 1013273754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9397766) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2012004209) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2017-02-28 |