| NPI | 1003859794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11001412) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R859828) |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-069010) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2024-01-04 |