| NPI | 1740552439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: FL APRN11007880) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MS R798707) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2024-06-20 |