| NPI | 1497935803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP3198692) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP3198692) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: FL ARNP3198692) | |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2018-02-21 |