| NPI | 1578292637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11014041) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11014041) |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2023-01-30 |