| NPI | 1245719640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9408896) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9408896) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9408896) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9408896) | |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2023-05-24 |