| NPI | 1487408688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11033809) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL RN9507386) |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-07-11 |