| NPI | 1427465269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9274011) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9274011) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9274011) | |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2021-03-29 |