| NPI | 1407099351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9236293) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2011013110) |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2024-09-09 |