| NPI | 1013553841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11005475) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9369912) |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2023-02-23 |