| NPI | 1578857488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11014726) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA sp011426) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2023-06-21 |