| NPI | 1467021006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11014109) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9437007) |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2021-10-20 |