| NPI | 1235179938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9243417) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA TP000639B) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA RN206431L) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 263990) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2014-03-04 |