| NPI | 1871993287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9293473) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9293473) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2019-10-22 |