| NPI | 1669792735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9192140) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP 9192140) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2019-04-04 |