| NPI | 1548509177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9436145) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK f1212215) |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2020-08-25 |