| NPI | 1194006973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9186005) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5009759) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5009759) | |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2024-12-14 |