| NPI | 1639612492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN3290832) |
| Additional Taxonomies | 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: FL APRN3290832) |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2021-11-10 |