| NPI | 1588192082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN9221721) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: FL 9221721) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: FL ARNP9221721) | |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2021-08-27 |