| NPI | 1962851501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9476463) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-147554) |
| Enumeration Date | 2016-06-05 |
| Last Update Date | 2018-08-31 |