| 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 |