| NPI | 1043754062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3403802) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 3403802) |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2023-03-06 |