| NPI | 1386418150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11030335) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL rn9381888) |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2024-04-16 |