| NPI | 1770122921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11005022) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: FL 9340862) |
| Enumeration Date | 2020-01-04 |
| Last Update Date | 2020-04-22 |