| NPI | 1558612630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11012886) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA RN577515) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2024-10-25 |