| NPI | 1851556393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11030499) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TX 695978) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ APN4471) | |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2024-12-13 |