| NPI | 1770218216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11020906) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL F07221198) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL RN9525966) | |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-07-23 |