| NPI | 1538749858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11012582) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11012582) |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2023-08-09 |