| NPI | 1700546934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11028850) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11028850) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61166017) | |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2024-04-18 |