| NPI | 1700923455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9329638) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 278999-4405) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2021-08-10 |