| NPI | 1235389339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9168891) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL 2498) |
| 133V00000X Dietitian, Registered (Licence: FL ND2498) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9168891) | |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2020-09-29 |