| NPI | 1700594835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11022956) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 661357) |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2023-11-01 |