| NPI | 1609434588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11011513) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 076070-23) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2022-01-29 |