| NPI | 1194883736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 266560) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP3268972) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2018-10-22 |