| NPI | 1295867984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-036855) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 2855602) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP2855602) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2016-09-15 |