| NPI | 1336483080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9183293) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9183293) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2019-12-11 |