| NPI | 1407246838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP9693) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP014470) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11020146) | |
| 363L00000X Nurse Practitioner (Licence: WV APRN63085NP) | |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2023-09-15 |