| NPI | 1306675848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11035462) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: FL RN9243130) |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-09-30 |