| NPI | 1396946968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201709802NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2859852) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5004960) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2018-03-17 |