| NPI | 1841841558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11007272) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN624002) |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2023-03-13 |