| NPI | 1750029799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11019157) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9388961) |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2023-01-12 |