| NPI | 1487822698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11019310) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN13138) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2022-11-18 |