| NPI | 1104805829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP1120202) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ARNP1120202) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2008-08-07 |