| NPI | 1306380480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9337712) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9337712) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2020-02-17 |