| NPI | 1114523263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11010460) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9413086) |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2021-02-21 |