| NPI | 1316417074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9328939) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 220572) |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2021-07-14 |