| NPI | 1932571304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9265972) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN 9265972) |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2016-09-08 |