| NPI | 1427609791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11013723) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9268064) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11013723) | |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2021-12-14 |