| NPI | 1629794268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL F08221301) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11021951) |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2022-10-17 |