| NPI | 1518301886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9308951) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9308951) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9308951) | |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2022-06-21 |