| NPI | 1023400520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9309453) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9309453) |
| Enumeration Date | 2015-02-21 |
| Last Update Date | 2022-10-29 |