| NPI | 1770908964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9212992) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT 212829) |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2024-10-22 |