| NPI | 1205305778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11000121) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11000121) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11000121) | |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2023-09-12 |