| NPI | 1346319282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 201372) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 39999) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11018011) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2023-10-23 |