| NPI | 1770793309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP1277362) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL arnp 1277362) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2021-03-16 |