| NPI | 1528592532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9345663) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9345663) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2021-05-06 |