| NPI | 1528213949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN2611882) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL ARNP2611882) |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2019-03-14 |