| NPI | 1235212549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP2976972) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN2976972) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2024-05-07 |