| NPI | 1619371051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9200548) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9200548) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 11102) | |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2023-08-13 |