| NPI | 1184838567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9430932) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209006482) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2017-03-17 |