| NPI | 1710547609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5020397) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95011861) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11007467) | |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2024-07-11 |