| NPI | 1518147651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN3286042) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 3286042) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2021-06-20 |