| NPI | 1548533045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9263733) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9263733) |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2025-04-29 |