| NPI | 1134390628 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9346764)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A03039)  | 
| Enumeration Date | 2008-03-12 | 
| Last Update Date | 2014-12-04 |