| NPI | 1164847083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3363992) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 3363992) |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2019-02-15 |