| NPI | 1396943056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9414891) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9414891) |
| Enumeration Date | 2007-07-04 |
| Last Update Date | 2024-11-09 |