| NPI | 1174153498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11008865) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: FL RN9352782) |
| Enumeration Date | 2020-01-26 |
| Last Update Date | 2020-11-13 |