| NPI | 1427666494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11007516) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9357009) |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-11-11 |