| NPI | 1568112118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11018720) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9532665) |
| Enumeration Date | 2022-03-26 |
| Last Update Date | 2022-04-01 |