| NPI | 1912211491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9422022) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28168389A) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2024-02-21 |