| NPI | 1649715228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11017749) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3010894) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2024-08-14 |