| NPI | 1174842009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: FL ARNP9248447) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9248447) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2020-03-25 |