| NPI | 1235611286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9345316) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9345316) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2021-06-17 |