| NPI | 1154956977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11012865) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28197550A) |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2024-02-21 |