| NPI | 1508309006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9294750) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9294750) |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2020-12-10 |