| NPI | 1578884326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9419562) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA sp010756) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3885) | |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2020-02-20 |