| NPI | 1578201836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11009009) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9367620) |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2024-05-03 |