| NPI | 1730621251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11007571) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11007571) | |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2020-12-21 |