| NPI | 1548799729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 20851) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11017656) |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2025-01-02 |