| NPI | 1598355950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11011029) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 11011029) |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2021-09-03 |