| NPI | 1225401573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9414883) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9414883) |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2024-06-20 |