| NPI | 1073783619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9357717) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN084772 AP2961) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2013-03-12 |