| NPI | 1134791916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11010156) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 1101056) |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2022-06-07 |