| NPI | 1225282049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9436144) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002790A) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2018-09-25 |