| NPI | 1417259664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 17798) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5005584) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9322078) | |
| Enumeration Date | 2010-11-20 |
| Last Update Date | 2022-03-01 |