| NPI | 1538737259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11020468) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 8060) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2022008517) | |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2024-12-09 |