| NPI | 1497163281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11017699) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2022-03-01 |