| NPI | 1003465527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11003628) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11003628) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11003628) | |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2022-04-07 |