| NPI | 1265086805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11001828) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: FL DH20090) |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2024-01-18 |