| NPI | 1215970645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11017781) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN201459) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2023-01-25 |