| NPI | 1407390164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11009639) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9434629) |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2023-03-14 |