| NPI | 1952870644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11000755) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9321916) |
| Enumeration Date | 2018-11-25 |
| Last Update Date | 2019-11-20 |