| NPI | 1649407909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9341221) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 176635) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2017-04-17 |