| NPI | 1083088033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11024243) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN175307) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2024-02-19 |