| NPI | 1174901391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9292280) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL ARNP9292280) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2016-12-14 |