| NPI | 1205390267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11001064) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11001064) |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2023-07-24 |