| NPI | 1194738104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11009899) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 002783) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2022-11-29 |