| NPI | 1831690650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN9330636) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9330636) |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2019-11-15 |