| NPI | 1912418377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9234118) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9234118) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9234118) | |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2018-03-17 |