| NPI | 1144494436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9390695) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9390695) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2019-01-07 |