| NPI | 1528416765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9309588) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL AR9309588) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2024-02-13 |