| NPI | 1578285029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11021846) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1107731) |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2023-04-18 |