| NPI | 1154944106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11010441) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9411566) |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2023-12-11 |