| NPI | 1316340375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP 9386632) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP014257) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2018-03-17 |