| NPI | 1205884095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP737562) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ARNP737562) |
| 363L00000X Nurse Practitioner (Licence: NC 5005197) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2021-05-03 |