| NPI | 1497946354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9234375) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 14526) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2009-11-04 |