| NPI | 1013256338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11036937) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4811) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2025-02-21 |