| NPI | 1215910195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP950692) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 0950692) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2011-01-07 |