| NPI | 1619536554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11020928) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-148862) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2022-07-26 |