| NPI | 1396263901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9366445) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9366445) |
| Enumeration Date | 2017-09-03 |
| Last Update Date | 2019-02-05 |