| NPI | 1720326572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9472988) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2270145) |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2021-09-28 |