| NPI | 1750885638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9293242) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 6498) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2021-01-06 |