| NPI | 1366441230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN9221044) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9221044) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2019-08-26 |