| NPI | 1649934290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11013913) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11013913) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11013913) | |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2022-01-21 |