| NPI | 1275239998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11023979) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 110223979) |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2024-08-16 |