| NPI | 1083992333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9224482) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD 2010016142) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2020-06-29 |