| NPI | 1497217772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11001745) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018037873) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2022-07-27 |