| NPI | 1881694123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP1364942) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-077795) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2024-03-19 |