| NPI | 1699231803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11002003) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 99339462) |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2019-09-16 |