| NPI | 1871122457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11013899) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR 124240) |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2023-02-01 |