| NPI | 1528523644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9400466) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9400466) |
| Enumeration Date | 2019-02-02 |
| Last Update Date | 2023-04-03 |