| NPI | 1699059709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9234844) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9234844) |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2020-11-02 |