| NPI | 1063871341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9324590) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9324590) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9324590) | |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2021-09-27 |