| NPI | 1841861606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11020383) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9578507) |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2024-06-30 |