| NPI | 1114472834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN2963932) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 2963932) |
| 363LF0000X Nurse Practitioner Family (Licence: FL 2963932) | |
| 363LF0000X Nurse Practitioner Family (Licence: MD AC002610) | |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2022-05-12 |