| NPI | 1154910503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11010776) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11010776) |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2021-08-07 |