| NPI | 1184844409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC APN19795APRN) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR ATP000064) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9406424) | |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2021-06-04 |