| NPI | 1467887240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9405388) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004614A) |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2023-07-18 |