| NPI | 1619413861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11024679) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 22453) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 22453) | |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2023-09-19 |