| NPI | 1821045352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9246237) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 233160) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2018-10-10 |