| NPI | 1770568339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN2048012) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN2048012) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2020-11-09 |