| NPI | 1568838779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9258916) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9258916) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1130242) | |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2023-08-25 |