| NPI | 1467419101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP1533222) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP1533222) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2015-04-15 |