| NPI | 1811698376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11024565) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11024565) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11024565) | |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-05-11 |