| NPI | 1679891741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11004539) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: FL ND5713) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2019-10-11 |