| NPI | 1629004940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9396068) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 069423) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2019-12-09 |