| NPI | 1548784671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11023042) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A109354) |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2023-04-12 |