| NPI | 1992892665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP619292) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP619292) |
| 261QP2300X Clinic/Center, Primary Care (Licence: FL ARNP-619292) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2013-03-28 |