| NPI | 1467169219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11023118) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9512266) |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2023-02-07 |