| NPI | 1134733157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11025299) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 161404) |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2023-08-18 |