| NPI | 1962743351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9361683) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R872968) |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2020-10-07 |