| NPI | 1376823864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9186216) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 20192) |
| Enumeration Date | 2011-08-28 |
| Last Update Date | 2019-04-24 |