| NPI | 1700572443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11025855) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9486864) |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-04-21 |