| NPI | 1467122473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11015269) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11015269) |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2022-01-05 |