| NPI | 1285027433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08780) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11007957) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2023-07-12 |