| NPI | 1871081927 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9472321) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP017903) | 
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9472327) | |
| Enumeration Date | 2018-04-24 | 
| Last Update Date | 2021-08-18 |