| NPI | 1134340342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP1266122) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ARNP1266122) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP1266122) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2021-01-11 |