| NPI | 1558923300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11003068) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009058A) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2023-03-15 |