| NPI | 1699171462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9270485) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 5967) |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2015-02-02 |