| NPI | 1205063336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9169291) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9169291) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2020-05-22 |