| NPI | 1194297275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11000720) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9376759) |
| Enumeration Date | 2018-12-29 |
| Last Update Date | 2024-02-20 |