| NPI | 1003149204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 9351411) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 14393) |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2021-09-02 |