| NPI | 1780087627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9259042) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5017471) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2024-01-18 |