| NPI | 1154829752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11033999) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2302589) |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2024-10-10 |