| NPI | 1801244132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN9210299) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL RN9210299) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2019-08-08 |