| NPI | 1073019493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL arnp9211403) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1013542) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2023-09-06 |