| NPI | 1548439128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11002386) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 200650055NP) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2021-06-21 |