| NPI | 1255848941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9325121) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9325121) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9325121) | |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2024-06-26 |