| NPI | 1427748896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11026737) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9293510) |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2023-06-12 |