| NPI | 1609112408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP2216722) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2216722) |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2023-01-27 |