| NPI | 1699911255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07500) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R868779) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9393971) | |
| Enumeration Date | 2008-12-31 |
| Last Update Date | 2014-10-28 |