| NPI | 1629520028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN9232556) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9232556) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2022-03-10 |