| NPI | 1184353666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11019914) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9577088) |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2023-01-11 |