| NPI | 1720061039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: FL RN9535496) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9535496) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11007752) | |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2022-08-16 |