| NPI | 1194968735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9281390) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 146630) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2009-04-13 |