| NPI | 1326086166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: FL 1326086166) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP 2005262) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2013-06-10 |