| NPI | 1063953339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11004495) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-144104) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2023-07-21 |