| NPI | 1194001545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11033200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5005343) |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2024-09-03 |