| NPI | 1326658840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11008626) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL F07201831) |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2021-01-14 |