| NPI | 1144727058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9473324) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9473324) |
| Enumeration Date | 2018-04-07 |
| Last Update Date | 2020-05-05 |