| NPI | 1689771032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN3371022) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL FL3371022) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-08-26 |