| NPI | 1659778215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9377065) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 21267) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2024-08-28 |