| NPI | 1801003058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN9208266) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL RN9208266) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2023-04-05 |