| NPI | 1366490476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP2874812) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 2874812) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2010-12-03 |