| NPI | 1265002315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11016469) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9543381) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL f07210042) | |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2023-11-29 |