| NPI | 1710439138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL Aprn11006802) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016029741) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11006802) | |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2022-11-07 |