| NPI | 1649878844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11009553) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11009553) |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2022-07-22 |