| NPI | 1215227046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9389454) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4008) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2024-02-28 |