| NPI | 1194811893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9229300) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ APO840) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 9229300) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2014-08-11 |