| NPI | 1669066031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11011814) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9487174) |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2022-08-05 |