| NPI | 1629683586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL APRN11008963) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 11008963) |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2024-07-12 |