| NPI | 1669753976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9325356) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9325356) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2024-01-18 |