| NPI | 1881995579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9429783) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP011064) |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2022-07-07 |