| NPI | 1992137277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9402091) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 17854) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2017-01-05 |