| NPI | 1821557216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5014864) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11001579) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: NC 5014864) | |
| 363L00000X Nurse Practitioner (Licence: NC 5014864) | |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2023-10-13 |