| NPI | 1386032704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11031216) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE RN638954) |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0011691) | |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2024-06-14 |