| NPI | 1215518345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11012834) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL 4104) |
| 163W00000X Registered Nurse (Licence: FL 9505715) | |
| 363L00000X Nurse Practitioner (Licence: FL 11012834) | |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2024-09-26 |