| NPI | 1396492245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11018550) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9362353) |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2023-02-24 |