| NPI | 1437762713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11023652) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: IN 28239143A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71012577A) | |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2023-11-08 |