| NPI | 1093453466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 229816) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11019793) |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2023-08-08 |