| NPI | 1871132597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11005748) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL F12190815) |
| Enumeration Date | 2019-12-28 |
| Last Update Date | 2024-10-29 |