| NPI | 1679734172 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC ARNP9172603) | 
| Additional Taxonomies | 363LP1700X Nurse Practitioner, Perinatal (Licence: FL ARNP9172603) | 
| Enumeration Date | 2008-06-18 | 
| Last Update Date | 2019-11-21 |