| NPI | 1851521348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9192670) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9192670) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2023-06-13 |