| NPI | 1801376348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9302099) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9302099) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2020-12-08 |