| NPI | 1992032254 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9270643)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209007855)  | 
| Enumeration Date | 2009-11-06 | 
| Last Update Date | 2022-08-18 |