| NPI | 1306462254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11020221) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9349747) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11020221) | |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2024-12-03 |