| NPI | 1649224585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9368172) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: IL 209004793) |
| 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: IL 209004793) | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2019-06-10 |