| NPI | 1891119715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R860701) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9376243) |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2022-11-07 |