| NPI | 1245699545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9327358) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9327358) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2020-10-04 |