| NPI | 1114908555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP1717092) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-028925) |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2017-11-29 |