| NPI | 1699748079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9438472) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 066199) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2018-12-04 |