| NPI | 1831706878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11017272) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 13280359-4405) |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2023-10-02 |