| NPI | 1801919402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9423759) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-005774) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2017-11-15 |