| NPI | 1275111270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11027268) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: FL 9481037) |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2023-11-08 |