| NPI | 1366869091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9277635) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2277984) |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2016-06-18 |