| NPI | 1194964700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9358157) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-077642) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2024-02-01 |