| NPI | 1265024731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11012040) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL F03210293) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11012040) | |
| Enumeration Date | 2021-02-06 |
| Last Update Date | 2022-12-27 |