| NPI | 1144537671 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9207781)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 15040)  | 
| Enumeration Date | 2010-09-03 | 
| Last Update Date | 2015-06-15 |