| NPI | 1407864275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9337370) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71000770A) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2014-12-01 |