| NPI | 1245536697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN9422087) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R121608) |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2024-05-02 |