| NPI | 1215188412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11005989) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R097863) |
| 363LF0000X Nurse Practitioner, Family (Licence: AR A004302) | |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2022-11-29 |