| NPI | 1942743778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9281845) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL F0916107) |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2018-05-01 |