| NPI | 1306332333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11025198) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9377422) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2024-05-16 |