| NPI | 1528817533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11032966) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9503056) |
| 363L00000X Nurse Practitioner (Licence: FL 11032966) | |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-06-21 |