| NPI | 1467458935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARPN9390424) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9390424) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2022-07-18 |