| NPI | 1427159128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11018415) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 230163) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2024-03-28 |