| NPI | 1316571243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11035191) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: FL RN9466195) |
| Enumeration Date | 2020-02-29 |
| Last Update Date | 2024-10-13 |