| NPI | 1891260220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9355203) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 1017359) |
| 363LF0000X Nurse Practitioner Family (Licence: NH 079886-23) | |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2022-05-19 |