| NPI | 1205138948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11003353) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID NP-1026A) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2021-04-21 |