| NPI | 1992117766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11000467) |
| Additional Taxonomies | 163WP2201X Registered Nurse Ambulatory Care (Licence: FL RN9299617) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2019-01-28 |