| NPI | 1831671643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN9334284) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL RN9334284) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2023-01-11 |