| NPI | 1396247730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9207475) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL arnp9207475) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2022-03-22 |