| NPI | 1255022703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11026262) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11026262) |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2024-07-11 |