| NPI | 1912289588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9233574) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL RN9233574) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2019-05-02 |