| NPI | 1841693595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9187035) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9187035) |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2019-05-16 |