| NPI | 1417599044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11005128) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9342090) |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2024-08-05 |