| NPI | 1760647093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9207142) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND 3065) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2012-02-27 |