| NPI | 1801273230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9486481) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0035828) |
| 363L00000X Nurse Practitioner (Licence: DE LG-0000854) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9483181) | |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2021-04-09 |