| NPI | 1093945594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9245779) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9245779) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2020-05-28 |