| NPI | 1073049730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9344776) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9344776) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2019-09-09 |