| NPI | 1558766337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9295699) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9295699) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2019-08-20 |