| NPI | 1386352052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11022928) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9388963) |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2023-02-20 |