| NPI | 1710403779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11028862) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-144708) |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2024-03-18 |