| NPI | 1548726136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11001999) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-103793) |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2019-09-12 |