| NPI | 1447883418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5020109) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11006049) |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2024-06-14 |