| NPI | 1811383433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9288118) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ARNP9288118) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL RN9288118) | |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2023-04-12 |