| NPI | 1891053831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11004349) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM RN72796) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11004349) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 1100439) | |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2020-10-31 |