| NPI | 1801423819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11013653) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9460382) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2021-07-06 |