| NPI | 1285339549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11020113) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9436320) |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-04-04 |