| NPI | 1376016378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11000268) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2328386) |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2022-03-15 |