| NPI | 1326757667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11022883) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11022883) |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2023-01-10 |