| NPI | 1871766535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9163557) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2013011248) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2015-08-24 |