| NPI | 1528805710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10030586) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11032109) |
| Enumeration Date | 2024-07-13 |
| Last Update Date | 2024-09-23 |