| NPI | 1023250750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9366075) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R141862) |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2013-12-17 |