| NPI | 1396482980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11012937) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9325343) |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2024-01-25 |