| NPI | 1124465893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9468782) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI 1557) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2020-12-04 |