| NPI | 1841565793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11026939) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2011039059) |
| Enumeration Date | 2012-03-11 |
| Last Update Date | 2023-07-14 |