| NPI | 1588626782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP04587) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: LA RN083107) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9413902) | |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2023-12-06 |