| NPI | 1649934118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11013972) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: FL 11013972) |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2022-01-21 |