| NPI | 1760460042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9397231) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AL 1-037805) |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2016-10-11 |