| NPI | 1003195249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9273541) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 246816) |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2022-06-07 |