| NPI | 1366582066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN2633702) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 2633702) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2019-10-25 |