| NPI | 1043543515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9234192) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ZZ RN9234192) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2024-10-15 |