| NPI | 1124526561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9364713) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9364713) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2022-04-18 |