| NPI | 1518331511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL APRN9264882) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 9264882) |
| Enumeration Date | 2015-11-14 |
| Last Update Date | 2021-02-15 |