| NPI | 1609279314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11011390) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005194A) |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2024-03-27 |