| NPI | 1457918138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11010624) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9323305) |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2021-09-25 |