| NPI | 1396447173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11029229) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9561197) |
| Enumeration Date | 2023-03-17 |
| Last Update Date | 2024-01-27 |