| NPI | 1750669685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9353370) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 627422) |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2013-04-20 |