| NPI | 1013311109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9296636) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9296636) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9296636) | |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2024-10-14 |