| NPI | 1093018277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9384798) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003445A) |
| Enumeration Date | 2010-12-10 |
| Last Update Date | 2016-06-23 |