| NPI | 1861581886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9355941) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-086040) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP 9355941) | |
| 363L00000X Nurse Practitioner (Licence: FL ARNP 9355941) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-086040) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 1-086040) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2017-02-26 |