| NPI | 1952591463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3163862) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: FL ARNP3163862) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2014-01-30 |