| NPI | 1235503624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9229502) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9229502) |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2024-08-06 |