| NPI | 1881163590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11000535) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9335527) |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2021-12-14 |