| NPI | 1588003990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9380625) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 18217) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2014-10-20 |