| NPI | 1831206945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9207271) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI RN25980) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2012-09-06 |