| NPI | 1255639357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL arnp9313009) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL arnp9313009) |
| Enumeration Date | 2011-03-14 |
| Last Update Date | 2024-06-13 |