| NPI | 1184173205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11019060) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11019060) |
| 363LF0000X Nurse Practitioner Family (Licence: SC 22646) | |
| 363LF0000X Nurse Practitioner Family (Licence: VA 0024174000) | |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2024-06-20 |