| NPI | 1114323235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9315882) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9315882) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2016-07-05 |