| NPI | 1003446949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11006896) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9329416) |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2021-01-28 |