| NPI | 1366995995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9469509) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN 21514) |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2020-10-14 |