| NPI | 1295877736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP2619062) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN2619062) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2021-12-07 |