| NPI | 1932507720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11012244) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209012045) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2021-09-30 |