| NPI | 1972961274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11002053) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9423826) |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2019-07-11 |