| NPI | 1285378414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11020625) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9462984) |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2022-07-07 |