| NPI | 1932280799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11011656) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000006305) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2022-08-19 |