| NPI | 1316264120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9212210) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ARNP9212210) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2018-06-18 |