| NPI | 1801360920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11001113) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9361261) |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2023-10-05 |