| NPI | 1669539391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11006970) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MS R639362) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-07-27 |