| NPI | 1275946246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9264775) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9264775) |
| Enumeration Date | 2014-06-08 |
| Last Update Date | 2021-02-18 |