| NPI | 1033722657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11008470) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-148984) |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2021-09-07 |