| NPI | 1306542436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11024413) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL RN9355747) |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2023-02-16 |