| NPI | 1780855056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3212542) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP3212542) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 3212542) | |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2021-08-24 |