| NPI | 1891083622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL arnp9358027) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA F0611271) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2020-10-09 |