| NPI | 1265146708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL F01230236) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL F0123028) |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-01-10 |