| NPI | 1093205049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11002153) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 21726) |
| 363L00000X Nurse Practitioner (Licence: NC 5010768) | |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2024-06-25 |