| NPI | 1801383310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9349208) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9349208) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2022-06-08 |