| NPI | 1346675691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9283813) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9293813) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9283813) | |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2019-04-01 |