| NPI | 1225554488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11011840) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 6799) |
| Enumeration Date | 2017-08-19 |
| Last Update Date | 2022-06-03 |