| NPI | 1356071427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11020180) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9486453) |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2022-07-25 |