| NPI | 1114221546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9248714) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID 25130) |
| 363L00000X Nurse Practitioner (Licence: ID NP-1260A) | |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2024-07-24 |