| NPI | 1447657788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN110319727) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28156212A) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2024-05-31 |