| NPI | 1972946606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11034008) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4955) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2024-09-10 |