| NPI | 1316508062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11003101) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL F06190516) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2021-02-19 |