| NPI | 1477893832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9407685) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006090) |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2019-04-18 |