| NPI | 1033980669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11033187) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL F12230157) |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2024-09-26 |