| NPI | 1609832906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP2140882) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R188836) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2014-05-14 |