| NPI | 1306201520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9451478) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9451478) |
| 363L00000X Nurse Practitioner (Licence: KY 3009938) | |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2024-01-28 |