| NPI | 1821548629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9304633) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9304633) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2021-02-16 |