| NPI | 1851390298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN3171762) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 3171762) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2019-04-12 |