| NPI | 1063895563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9311985) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9311985) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2021-08-16 |