| NPI | 1487050522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9414717) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP014497) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2018-12-27 |