| NPI | 1811343627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11025253) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 309381) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 6986-33) | |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2024-07-12 |