| NPI | 1730156548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN3058102) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL RN3058102) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2024-02-23 |