| NPI | 1346768330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9494778) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID CNP61367) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2019-10-03 |