| NPI | 1750992293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11014856) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R219547) |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2022-06-17 |