| NPI | 1528719085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11025669) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022001544) |
| Enumeration Date | 2022-01-15 |
| Last Update Date | 2023-07-17 |