| NPI | 1821405267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9338051) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9338051) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2017-08-24 |