| NPI | 1740553502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9435185) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: LA AP06746) |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2016-09-02 |