| NPI | 1285628883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9341297) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R130805) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN R 168491-7) | |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2014-11-15 |