| NPI | 1245906064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11018933) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R247873) |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2022-08-04 |