| NPI | 1285129767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11023539) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9323732) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2024-02-16 |