| NPI | 1154177400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11032999) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9361747) |
| Enumeration Date | 2024-04-27 |
| Last Update Date | 2024-08-22 |