| NPI | 1568071389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11014662) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 9015) |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2023-05-01 |