| NPI | 1578219309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11018476) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9354508) |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2022-03-22 |