| NPI | 1649097510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 09240487) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11035699) |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2024-10-04 |