| NPI | 1811619836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-145459) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11021658) |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2023-03-23 |