| NPI | 1295458867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11021178) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9605640) |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2022-12-09 |