| NPI | 1487118964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11022878) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 903160) |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2023-09-19 |