| NPI | 1659675528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9411447) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 004527) |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2023-03-06 |