| NPI | 1871741116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9322553) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9322553) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9322553) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 3488-33) | |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2022-07-28 |