| NPI | 1609318351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11026812) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 230954) |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-117903) | |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2023-09-25 |