| NPI | 1891363008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11013707) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL F06211078) |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2024-06-04 |