| NPI | 1700268042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11017707) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A004368) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2024-09-09 |