| NPI | 1881159895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11000665) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11000665) |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-03-18 |