| NPI | 1619350428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9310895) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: FL ARNP310895) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2021-08-12 |