| NPI | 1760864854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9408673) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 20107) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2024-09-18 |