| NPI | 1497314124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11002721) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11002721) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 9352445) | |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-07-17 |