| NPI | 1831890250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11036474) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9327403) |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2024-11-19 |