| NPI | 1780338863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11017983) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11017983) |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2022-09-08 |