| NPI | 1578913968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9357569) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL arnp9357569) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2018-12-20 |