| NPI | 1598365165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11009958) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL F10200732) |
| Enumeration Date | 2020-10-31 |
| Last Update Date | 2022-12-11 |