| NPI | 1063907426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9275499) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL rn9275499) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9275499) | |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2021-05-11 |