| NPI | 1114661857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11019784) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3016956) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11019784) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3016956) | |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2022-08-04 |