| NPI | 1194359885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11006763) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9259842) |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-04-08 |