| NPI | 1437312428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9451942) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IA A063886) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2023-03-31 |