| NPI | 1003089129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11020658) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 13341) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2023-12-19 |