| NPI | 1740686195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: FL 9396065) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9396065) |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2021-03-11 |