| NPI | 1770888331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9379679) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP011079) |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2021-09-22 |