| NPI | 1386065449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9274460) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 07710) |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2015-01-08 |