| NPI | 1598210858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9231356) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9231356) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2024-04-17 |