| NPI | 1386096337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11004955) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA 2015015202) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2020-01-29 |