| NPI | 1033629423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN9300093) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 9300093) |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2024-03-06 |