| NPI | 1447666334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9312109) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9312109) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2015-09-15 |