| NPI | 1245701093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11000125) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11000125) |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2021-10-13 |