| NPI | 1093376501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11002815) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 11002815) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2020-01-16 |